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5 Written questions

5 Matching questions

  1. medical coder
  2. premium
  3. procedure code
  4. capitation
  5. coinsurance
  1. a adavance payments to a provider that covers each plan member's health care services for a certain period of time
  2. b a code that identifies a medical service.
  3. c the periodic amount of money the insured pays to a health plan for insurance coverage.
  4. d .a peson who analyzes and codes patient diagnoses, procedures, and symptoms
  5. e part of changes that of changes that an insured person must pay for health care services after payment of the deductible amount

5 Multiple choice questions

  1. a explanation of benefits transmitted electronically by payer to a provider.
  2. treament provided by a physycian to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and provided in accordance with generally accepted standards of medical practice.
  3. a plan, program, or organization that provides health benifits.
  4. the flow of financial transactions in a bissiness
  5. monies that are flowing into a business

5 True/False questions

  1. managed carea type of insurance in which the carrier is responsible for both financing and the delivery of health care


  2. encounter formthe flow of financial transactions in a bissiness


  3. free-for-servicehealth plan that repays the policyholder for covered medical expenses


  4. health maintenance organization (HMO)a managed health care system in which provides agree to offer heath care to the organization's members for fixed periodic payments from paln


  5. consumer-driven health plan (CDPH)a type of managed care in which a high-deductible/low-premium insurance plan is combined with a pretax saving account to cover out-of-pocket medical expenses, up to the deductible limit